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  • Smart Oral Disintegrating Tablets: Integration of 3D Printing, AI, and Personalized Drug Delivery

  • College of Pharmacy, PGIMS, Pandit Bhagwat Dayal Sharma, University of Health Sciences, Rohtak.

Abstract

Oral disintegrating tablets (ODTs) are easy and patient-friendly dosage forms that quickly dissolve in the mouth. They are especially useful for dysphagic, elderly, and pediatric patients. Conventional ODTs, on the other hand, are typically produced as standardized dosage forms and may have drawbacks with regard to dose flexibility, tablet design, drug loading, mechanical strength, and unique drug-release characteristics. Artificial intelligence (AI) and three-dimensional (3D) printing have opened up novel avenues for the creation of smart ODTs with digitally controlled and patient-focused features. While AI and machine learning (ML) can support formulation optimization, prediction of critical quality attributes, printability assessment, and selection of appropriate manufacturing parameters, 3D printing allows for customization of tablet geometry, internal structure, drug loading, porosity, and drug-release behavior. The creation of personalized ODTs with programmable release profiles, numerous drug combinations, on-demand manufacturing capabilities, and customizable doses may be made easier by the integration of AI/ML with 3D printing. Pediatric, elderly, dysphagic, and polypharmacy populations may find these systems especially helpful. Despite all these possible benefits, issues like restricted drug loading, mechanical strength, moisture sensitivity, taste masking, data quality, model validation, manufacturing reproducibility, scalability, cost, regulatory requirements, and patient-data security continue to be significant factors. Thus, smart ODTs is an emerging strategy for patient-centered, technologically enabled, and customized oral medication delivery. To incorporate these systems into standard pharmaceutical practice, more study, experimental validation, regulatory development, and digital technology integration is needed

Keywords

Smart ODTs; Orally Disintegrating Tablets; Three-Dimensional Printing; Artificial Intelligence; Machine Learning; Personalized Drug Delivery; Additive Manufacturing; On-Demand Manufacturing; Digital Pharmaceutical Manufacturing; Patient-Centric Drug Delivery

Introduction

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Oral drug delivery is one of the most popular approaches due to its ease of use, patient acceptability, non-invasiveness, and simplicity of preparation. However, in pediatric, elderly, and geriatric patients, they have difficult to administer conventional tablets. Oral disintegrating tablets (ODTs) have drawn a lot of attention because they dissolve rapidly in mouth cavity and demand very little water to consume. This has resulted in improvement of patient compliance and easier drug administration. However, dose flexibility, tablet geometry, drug loading, mechanical strength, and customized drug-release properties may be limited in conventional ODTs, which are typically produced as standardized dosage forms (1,2).

With the ability to produce dosage forms having personalized geometry, internal structure, drug quantity, and release properties, three-dimensional (3D) printing has become a cutting-edge pharmaceutical production method. In contrast to traditional manufacturing, 3D printing offers options for customized and on-demand fabrication of oral dose forms and digital control over formulation architecture. According to recent research, 3D printing may be used to produce customized ODTs, including dose forms with various dosages and intricate structures (2,3).

Simultaneously, artificial intelligence (AI) and machine learning (ML) are being researched more and more for the development and optimization of pharmaceutical formulations. AI-based methods can evaluate complicated datasets and assist in the optimization of manufacturing parameters, formulation performance prediction, and essential quality attributes. Therefore, combining AI with 3D printing could offer a data-driven method where patient-specific needs are converted into digital formulations that are optimized and then produced as customized dose forms (1,4).

An emerging paradigm for smart drug delivery is represented by a combination of ODTs, 3D printing, AI, and personalized medicine. Specific dosing, customizable tablet design, programmable drug release, and on-demand manufacturing may be made possible by such systems, especially for patient populations who need specific therapy, such as children and the elderly. The validation of AI models, data quality, dose consistency, material selection, manufacturing reproducibility, scalability, regulatory requirements, and patient-data security are still issues that need to be resolved (1,2,4).

The development of ODTs toward smart dosage forms, recent developments in pharmaceutical 3D printing, applications of AI and ML in the development of formulation, integration of AI with 3D printing, personalized drug-delivery applications, evaluation and quality considerations, regulatory challenges, and future prospects are all covered in this review paper. The potential of AI-driven 3D printing to enable digitally created, patient-specific, on-demand ODTs is highlighted in particular.

Oral Disintegrating Tablet

ODTs are a specific class of solid oral dose forms designed to increase drug adherence and patient convenience. Unlike traditional tablets, which must be taken with water, ODTs disintegrate fast when placed on the tongue, allowing the dose form to be absorbed with saliva. ODT is defined by the FDA as "a solid dosage form containing medical substances which disintegrate rapidly, usually within a matter of seconds, when placed upon the tongue."

The European Pharmacopeia states that "uncoated tablets should disintegrate within 3 minutes and are intended to be placed in the mouth, where they disperse rapidly before being swallowed" (5,6).

Advantage of ODTs (5,7–9)

  1. Administration is easy, especially for people who have trouble swallowing conventional tablets, such as children, the elderly, and people with mental disabilities.
  2. The dosage form quickly dissolves when it comes into contact with saliva, which causes fast absorption in the oral cavity and a rapid commencement of action.
  3. It doesn't require water for consumption; it may be administered conveniently at any time and location, which is specifically helpful for people who don't have instant access to water.
  4. Due to its simplicity of usage, it is ideal for dysphagic, elderly, and pediatric patients.
  5. When compared to certain liquid dose forms, these formulations show superior environmental stability.
  6. They are economical because they typically don't need costly excipients or complicated processing.
  7. Water is not required for administration.
  8. Patient comfort and compliance are increased because chewing is not necessary.
  9. It is simple to administer and improves patient adherence to treatment.
  10. Able to handle comparatively greater drug loading.
  11. After ingestion, there is little to no residue in the oral cavity.
  12. A successful substitute for individuals with esophageal issues.

Limitation of ODTs (6,10,11)

 

 

 

 

Figure 1: Limitations of ODTs

 

Evolution of Conventional ODTs to Smart ODTs

From a historical viewpoint, the groundbreaking launch of OraSolv® in the 1980s laid the groundwork for commercially available fast-dissolving tablets, which is where ODTs originated. This was the first attempt at pharmaceutical innovation with the goal of improving patient experience and adherence. ODT technology witnessed a paradigm shift in the ensuing decades due to constant developments. ODTs have evolved from simple tablets to complex and user-friendly dosage forms due to technological advancements, taste masking improvements, and a strong dedication to patient-centric formulations. ODTs' transformation represents a shift from traditional medication delivery to patient-focused formulations (5,12). ODTs have evolved from traditional compressed tablets to sophisticated dosage forms intended to enhance patient acceptability, palatability, disintegration, dissolving, and administration simplicity. The main goal of traditional ODT technologies was to achieve rapid disintegration by using specialized excipients, porous architectures, superdisintegrants, and production techniques including sublimation and freeze-drying. However, these traditional methods typically use uniform pill shapes and preset medication dosages, which limits their capacity to meet the needs of specific patients (13,14).

More control over tablet geometry, porosity, drug loading, and release characteristics is now possible owing to the development of sophisticated pharmaceutical production technology, especially three-dimensional 3D printing. Simultaneously, data-driven formulation optimization and product performance prediction have been made possible by AI and ML. As a result, the development of smart ODTs as a possible platform for customized oral medication delivery has been aided by the integration of these technologies (15,16).

Definition of Smart ODTs

Conceptually, smart ODTs are sophisticated oral disintegrating dosage forms that allow for digital optimization or customization of formulation composition, dose, structure, drug-release behavior, or manufacturing parameters in accordance with preset therapeutic or patient-specific needs. In contrast to traditional ODTs, smart ODTs may use additive manufacturing, digital design, and AI-assisted optimization to deliver customized and on-demand dose forms. Patient-centric formulation science, digital pharmaceutical production, and intelligent computational technology come together to form "smart ODT," despite the fact that it is an emerging concept rather than a globally regulated regulatory category (15,16).

Characteristics of smart ODTs (15–17)

  • In the oral cavity, smart ODTs quickly dissolve, making waterless administration possible.
  • It is possible to program drug-release properties through structural design and formulation.
  • Individual therapeutic needs can be taken into account while adjusting drug strength.
  • Patients can have their tablets customized in terms of shape, size, geometry, content, and medicine combinations.
  • On-demand manufacturing of dosage forms in accordance with customized digital prescriptions may be possible.
  • Digital technologies and artificial intelligence can be utilized to optimize manufacturing and formulation factors.
  • Depending on the therapeutic needs, different drug-loading combinations and doses can be used.
  • 3D printing and other advanced manufacturing technologies allow for flexible and patient-specific ODT fabrication.
  • Drug distribution that is precise and customized can be supported by smart ODTs.
  • These characteristics may increase the acceptability and convenience of medications in groups with polypharmacy, dysphagia, pediatrics, and the elderly.

 

 

Table 1: Difference between Conventional ODTs vs Smart ODTs

Parameters

Conventional ODTs

Smart ODTs

Dose

Generally standardized

Potentially patient-specific

Tablet design

Predetermined geometry

Digitally customizable

Manufacturing

Conventional batch manufacturing

Potentially 3D-printed/on-demand

Drug release

Primarily formulation-dependent

Potentially programmable and digitally optimized

Patient personalization

Limited

High potential

Formulation optimization

Experimental/QbD approaches

AI/ML-assisted optimization possible

Production model

Large-scale batch production

Personalized or decentralized production possible

Digital integration

Limited

Integration with digital design and patient data

Main objective

Rapid disintegration and convenient administration

Rapid disintegration plus personalization and intelligent manufacturing

 

Formulation Strategies for ODTs

In order to achieve rapid disintegration, acceptable mechanical strength, satisfying mouthfeel, and enough drug release, the active pharmaceutical ingredient (API), excipients, and manufacturing method must be carefully chosen in the formulation of ODTs (18). API selection is a crucial first step because physicochemical characteristics like dosage, aqueous solubility, particle size, crystal morphology, hygroscopicity, compressibility, and taste can greatly affect ODT (18,19). High-dose or extremely bitter medications may need additional formulation techniques, although low-dose medications with appropriate solubility and compressibility are typically more accessible to ODT creation (20).

The choice of excipient is equally essential. Super disintegrants like crospovidone, croscarmellose sodium, and sodium starch glycolate, and fillers like lactose, mannitol, and microcrystalline cellulose, binders, lubricants, sweeteners, and flavors are examples of frequently used excipients. While preserving sufficient hardness, low friability, high flowability, and a pleasing mouthfeel, these excipients should encourage quick water absorption and tablet breakdown (19,20). Since the medication gets into direct contact with taste buds after disintegration, taste masking is an especially crucial tactic. Bitterness can be decreased by a variety of physical and chemical methods, such as the use of flavors and sweeteners, polymer coating or microencapsulation, ion-exchange resins, solid dispersion, pH alteration, and complexation with cyclodextrins.

Formulation strategies such as solid dispersion, cyclodextrin complexation, particle-size reduction, and other solubility-enhancement approaches can be used to increase dissolution for poorly soluble APIs (21,22). Lastly, depending on the drug's qualities and the required tablet features, production processes such as direct compression, wet or dry granulation, sublimation, spray drying, molding, and freeze-drying can be chosen (23). Therefore, quick disintegration and dissolution must be balanced with mechanical strength, dose loading, stability, taste, and patient acceptability for ODT development to be successful (18,21).

Techniques for ODT Preparation

ODTs have been developed using a variety of techniques. These techniques are as under:

Direct compression: It is the simplest and least expensive way to construct ODTs. Compared to other approaches, it requires comparatively fewer steps. This process compresses every ingredient directly into a single pill. Because this process uses a lot of superdisintegrants, tablets made using this technology can occasionally be quite brittle (24).

Freezing drying: It's also referred to as lyophilization. For thermolabile medications, this technique is typically employed. This technique involves dispersing the medication in a solvent or aqueous solution, which is then instantly lyophilized. Water-soluble medications can create low freezing eutectic mixtures; therefore, this approach is not appropriate for them (25).

Spraying drying: Tablets are made utilizing a gelatin matrix during the spray drying process. After mixing all the components, including the API and excipients, a spray dryer is used to dry them (26).

Molding: The molding process entails either moisten, dissolving, or dispersing the drug with a solvent and then molding the moist mixture into tablets (compression molding with lower pressure than conventional tablet compression) or evaporating the solvent from the drug solution or suspending the drug at ambient pressure (no vacuum lyophilization). The pills are air-dried following compression molding. Because less compression force is applied than with conventional tablets, the molded tablet creates an extremely porous structure that accelerates the product's dissolution and disintegration. To speed up the product's dissolution, the powder mixture should be sieved through a very fine screen. Tablet disintegration and tongue feel are improved since the molding process is usually applied to soluble chemicals (saccharides). However, when handled, the low mechanical strength of molded tablets leads to erosion and fracture (24,26).

Sublimation: In this process, sublimizing materials like urea and camphor are used to compress the API and excipients. When taken orally, the tablet disperses rapidly due to the sublimation of the volatile ingredient, which makes it porous (27).

Cotton candy: After the polysaccharide matrix is recrystallized to create candy floss, excipients and API are combined and compacted to create tablets. Additionally, they can keep tablets strong (28).

 

Table 2: List of Patented and Proprietary Technology Used in Manufacturing of ODTs

Patented / proprietary technology

Company / developer

Basic manufacturing principle

Key technological feature

Example drug / marketed product

Zydis®

Catalent / R.P. Scherer

Freeze-drying (lyophilization)

Highly porous matrix; very rapid disintegration

Ondansetron – Zofran ODT

Lyoc®

L. Lafon / Cephalon

Freeze-drying

Porous, rapidly dispersing tablet

Phloroglucinol – Spasfon Lyoc

OraSolv®

Cima Labs

Direct compression + effervescence

Rapid disintegration with taste masking

Zolmitriptan – Zomig Rapimelt

DuraSolv®

Cima Labs

Direct compression

Higher mechanical strength with rapid disintegration

Hyoscyamine – NuLev

FlashDose® / Shearform®

Fuisz Technologies

Cotton-candy/fibrous matrix technology

Highly porous, rapidly dissolving carbohydrate fibers

Diphenhydramine – Benadryl Fastmelt

WowTab®

Yamanouchi

Compression using highly water-soluble sugars

Good balance of hardness and rapid dissolution

Famotidine – Pepcid RPD

FlashTab®

Prographarm

Direct compression

Rapid disintegration + taste masking

Ibuprofen – Nurofen FlashTab

AdvaTab®

Eurand

Direct compression

Rapid disintegration using engineered excipients

Loratadine – AdvaTab formulations

OraQuick®

KV Pharmaceutical

Compression with taste-masking technology

Rapid dissolution and taste masking

Ondansetron – Zuplenz

Frosta®

Akina

Direct compression

Rapid disintegration with improved tabletability

Various ODT formulations

Pharmaburst™

SPI Pharma

Direct compression using a co-processed excipient system

Rapid disintegration and good tablet strength

Various drug formulations

 

Advance Manufacturing Techniques for ODTs

3D Printing

Binder jet printing (BJP): One possible 3D printing technique for the creation of ODTs is binder jet printing (BJP), also known as inkjet or drop-on-powder printing. The procedure involves adding a liquid binder layer by layer on top of a powder bed composed of excipients and APIs. BJP's solvent-based, heat-free nature makes it particularly suitable for thermolabile medications and enables the creation of extremely porous forms that can easily dissolve in the mouth (29,30).

Dose personalization, geometrically complicated design, and enhanced patient compliance—particularly in the juvenile and elderly patient populations—are among the main advantages of BJP. However, achieving adequate mechanical strength, preventing drug-binder incompatibilities, and guaranteeing stability are challenges. The first FDA-approved 3D-printed product, Spritam® (levetiracetam), was approved, demonstrating the method's clinical potential. In order to improve the reproducibility and scalability of BJP for more pharmaceutical applications, current research focuses on formulation optimization, binder selection, and post-processing methods (31).

Selective Laser Sintering (SLS): When particles are sintered using a laser, strong, porous tablets with adjustable release profiles result. ODTs that release less than 90% of the drug in 5 minutes and disintegrate in less than 15 seconds have been printed using SLS. Using laser energy to selectively heat powder particles, SLS is a powder bed fusion process that produces 3D structure by partially melting the powder, fusing the particles, and then solidifying. SLS is a widely used process that uses a laser as a power source to sinter tiny layers of powdered materials that cover the platform of a printing bed (32).

Fused Deposition Modeling (FDM): One of the most widely used and accessible 3D printing technologies available today is FDM. It creates objects layer by layer using a computer model by extruding melted thermoplastic filament through a heated nozzle. PLA, ABS, PETG, and TPU are common materials with distinct qualities for a range of uses. It is inexpensive, simple to use, and versatile for educational tools, low-volume manufacture of functional parts, and prototyping, FDM is a popular choice. Its drawbacks include obvious layer lines, reduced resolution, and possible warping with specific materials. Despite this, its widespread use in several industries demonstrates its worth as a dependable and affordable additive manufacturing technique (33).

Stereolithography (SLA): SLA is an additive manufacturing technique that produces extremely precise and detailed three-dimensional products by selectively curing liquid photopolymer resin into solid layers using a UV laser. SLA, one of the earliest 3D printing techniques, is renowned for its smooth surface finish, high resolution, and ability to create intricate geometries with fine details (34).

A build platform is lowered into resin soup during the SLA process, and each layer is burned out using a laser in accordance with a computer model. The portion builds up layer by layer as the platform gradually descends as each layer solidifies. SLA-printed parts typically require post-processing, such as UV curing and washing. SLA is frequently used in applications that need high surface polish and precision, such as complex engineering prototypes and dental and medical models. Even while SLA printing is more accurate than FDM, it has drawbacks such as higher material costs, limited part mechanical strength, and environmental sensitivity (35).

Direct Powder Extrusion (DPE): DPE is a new additive manufacturing technique that eliminates the requirement for filament creation by directly processing powdered materials, usually thermoplastics or composites. DPE entails putting dry powder into a heated screw-based extruder, where it is melted and deposited layer by layer to create three-dimensional pieces, in contrast to typical FDM, which extrudes a pre-formed filament. By removing the filament-making stage, this technique allows for increased material versatility and cost savings. It is especially useful for processing composites with functional fillers, bespoke material blends, and high-performance polymers (36).

AI/ML-Assisted Formulation of Smart ODTs

For the development, optimization, and quality evaluation of smart ODTs, AI and ML are becoming important technologies. To find appropriate combinations of APIs, excipients, and processing conditions, conventional formulation development frequently relies on repeated experimental trials. This method can be costly, time-consuming, and ineffective, especially when multiple formulation factors affect tablet performance at the same time. By finding complex links in formulation and manufacturing data and utilizing these associations to forecast desired product attributes, AI/ML-based techniques might lessen this burden.

AI/ML models can assess the impact of API characteristics, excipient type and concentration, particle size, moisture content, compression force, printing temperature, infill density, and tablet shape in the development of smart ODTs. Critical quality qualities, like mechanical strength, porosity, wetting time, disintegration time, drug loading, dissolving behavior, and printability, may be associated with these variables. For example, Elbadawi et al. created the M3DISEEN machine-learning technique to forecast pharmaceutical formulations' three-dimensional printability. In order to improve development efficiency, their work showed that machine-learning models might help find appropriate formulations and processing conditions prior to substantial laboratory trial (37).

AI/ML can also help with excipient selection by forecasting how they will affect tablet performance. Excipient combinations that offer sufficient mechanical integrity while preserving quick disintegration may be found by algorithms trained using experimental formulation datasets. This is especially crucial for Smart ODTs because, although insufficient mechanical strength can result in tablet damage during handling, packing, or shipping, excessive mechanical strength could delay decomposition. Predictive models can also be used to estimate drug-release profiles and determine how modifications to the architecture, porosity, or infill pattern of tablets impact immediate or modified release.

It is possible to optimize several formulation and production factors at once using more sophisticated computational techniques such as artificial neural networks, random forests, support vector machines, evolutionary algorithms, and Bayesian optimization. Digital designs for 3D-printed ODTs with predetermined dose, geometry, drug combination, and release characteristics may be produced with the aid of these techniques. By combining patient-specific information with formulation data to enable customized dose selection and on-demand production, AI can also enhance personalized medicine. This more comprehensive idea was defined by Abdalla et al. as an AI-enabled approach that connects digital manufacturing, customized oral medicine delivery, and data-driven formulation creation. In addition to these benefits, the application of AI/ML necessitates high-quality datasets, defined experimental protocols, interpretability, cybersecurity, model validation, and regulatory supervision. Therefore, rather than totally replacing laboratory research, AI/ML should be viewed as a decision-support tool that enhances pharmaceutical knowledge and experimental verification (38).

Personalized Drug Delivery Using Smart ODTs

Personalized medicine is an approach to drug therapy in which the treatment strategy is tailored to the individual characteristics and medical needs of each patient rather than applying the same strategy to all patients. Patient-specific factors include age, body weight, disease condition, differences in how the body handles drugs, genetic factors, and organ function. Opportunities to construct customized oral dosage forms with unique dose, shape, drug combination, and release properties have been made possible by recent developments in digital pharmaceutical technologies and additive manufacturing. These ideas may be combined with the benefits of quick disintegration and simplicity of administration in smart ODTs, especially for patients who have trouble swallowing traditional tablets (39–41).

Need for Individualized Dosing

Significant variations in medication exposure and therapeutic response can arise from interindividual variances in drug absorption, distribution, metabolism, and excretion. As a result, not every patient may experience the same therapeutic result at a fixed dose. When precise dose adjustment is clinically necessary or when medication exposure is significantly impacted by patient-specific variables, individualized dosing is especially important. To assist customized dose selection, model-informed precision dosing techniques take into account pharmacokinetic variability, drug concentrations, and patient characteristics (42). By enabling the creation of various dosage strengths and release profiles in accordance with the recommended therapeutic requirement, smart ODTs may supplement such strategies (40).

Patient-Specific Dose Adjustment

Adjusting a patient's dosage based on clinically significant patient features is known as patient-specific dose adjustment. By regulating drug loading, tablet size, geometry, and release properties, advanced manufacturing technologies like three-dimensional 3D printing can enable personalized dosage forms. The possibility of 3D printing to create patient-specific dosages and dosage forms, such as tablets with various medication strengths and release patterns, has been discussed in studies and reviews (40,41). As a result, smart ODT platforms might offer a technological foundation for creating customized dosage strengths, but the final dose needs to be established in accordance with established pharmaceutical and clinical standards (40).

 

Table 3: Patient-Specific Factors and Their Potential Role in Personalized Smart ODT Development

Patient-specific factor

Personalization requirement

Potential role of Smart ODTs

Age

Drug requirements can differ between pediatric, adult, and geriatric populations.

Development of age-appropriate dose strengths, tablet dimensions, taste, and disintegration characteristics

Body weight

Certain medicines require weight- or body-size-related dose adjustment.

Variable drug loading or tablet size may facilitate individualized dose preparation.

Disease condition

Disease severity and therapeutic response may influence the required treatment regimen.

Customized dose and, where clinically justified, modified release characteristics may be incorporated

Pharmacokinetic variability

Differences in absorption, metabolism, distribution, and elimination can produce different drug exposures.

Patient-specific dosing supported by pharmacokinetic information can be combined with flexible dosage-form manufacturing.

Renal function

Reduced renal clearance can require adjustment of dose or dosing interval for appropriate drugs.

Customized lower-strength dosage forms may facilitate clinically prescribed dose adjustments.

Hepatic function

Changes in hepatic metabolism can alter systemic drug exposure.

Flexible dosage strengths may support individualized regimens when dose adjustment is clinically indicated.

Pediatric requirements

Children may require lower doses, flexible strengths, palatable formulations, and easy administration.

Low-dose, taste-masked, and rapidly disintegrating formulations may improve administration and acceptability.

Geriatric requirements

Dysphagia, polypharmacy, and difficulty swallowing conventional tablets can affect medication administration.

Rapidly disintegrating dosage forms and personalized polypill approaches may reduce administration difficulties and pill burden.

 

Therefore, when paired with digital formulation design and additive manufacturing, smart ODTs offer a viable platform for patient-focused and customized oral medication delivery. The more general idea of customized pharmaceutical manufacture is supported by 3D-printing techniques, which can offer flexibility in dose, dosage-form geometry, drug combination, and release characteristics (41). Before being routinely used in clinical settings, individualized smart ODTs still need to be well validated for dose accuracy, content homogeneity, mechanical characteristics, disintegration, dissolution, stability, reproducibility, and regulatory compliance (39,40).

Application of Smart ODTs (43–47)

  1. Pediatric medication delivery: Since children may have trouble swallowing traditional tablets, smart ODTs can be especially helpful for pediatric patients. Children's acceptance of oral medications can be enhanced by rapid disintegration, better palatability, variable dosing, and the ability to create small or customized dosage forms.
  2. Elderly and dysphagic patients: Smart ODTs offer older patients and others who have trouble swallowing an alternative to traditional tablets and capsules. They can be administered without the patient having to swallow an unbroken tablet because of their quick disintegration in the oral cavity.
  3. Personalized dose delivery: Personalized medication is one of the main uses for Smart ODTs. Drug dose, tablet geometry, drug loading, and release properties can all be changed to meet the needs of specific patients thanks to advanced digital manufacturing, especially 3D printing.
  4. Polypill and polypharmacy systems: Smart ODTs may be able to combine several APIs into a single dosage form. Different medications can be arranged in distinct layers or compartments thanks to 3D printing, opening the door to customized combination therapy and various release profiles inside a single dosage form.
  5. Programmable drug release: Drug-release behavior can be controlled by altering tablet geometry, porosity, infill density, polymer composition, and internal structure. These methods offer the possibility of creating Smart ODTs with programmable or predetermined release profiles.
  6. On-demand manufacturing: Digital manufacturing technology can make it possible to produce medications in individual dosage forms or in small batches in accordance with a prescription. This strategy might help decentralized or point-of-care pharmaceutical manufacture and lessen reliance on set commercial strengths.
  7. Delivery of poorly soluble medications: To improve the dissolution of poorly water-soluble APIs, smart ODT platforms can include solubility-enhancement techniques such as particle-size reduction, nanocrystals, solid dispersions, and cyclodextrin complexation.
  8. Emergency and quick medicine delivery: When quick administration is preferred or water access is difficult, quickly dissolving dose forms can be helpful. Because of this feature, ODT technology is applicable in certain therapeutic contexts where oral administration is convenient.

Limitations and Difficulties with Smart ODTs (45,46) (47)

  • Limited drug loading: High-dose medications cannot be incorporated due to the small tablet size.
  • Mechanical strength: Increased friability and decreased hardness might result from high porosity.
  • Moisture sensitivity: The stability and functionality of tablets can be impacted by humidity.
  • Taste masking: Additional taste-masking techniques are needed for bitter medications.
  • Limitations of 3D printing: Tablet quality and dose consistency may be impacted by printing conditions.
  • AI/ML data limitations: Prediction accuracy may be lowered by insufficient or subpar data.
  • Validation challenges: External and experimental validation is necessary for AI/ML predictions.
  • Complexity of personalization: Complex manufacturing and formulation methods are needed for individualized dosing.
  • Regulatory challenges: New regulatory frameworks are needed for AI, 3D printing, and tailored medications.
  • Expensive: Specialized hardware, software, and skilled workers are needed for advanced technology.
  • Scale-up challenges: It might be difficult to maintain constant quality when producing on a large scale.
  • Stability and packaging: For sufficient protection, smart ODTs could need specific packaging.

FUTURE PROSPECTS

Future smart ODTs are anticipated to prioritize patient-centered, technologically connected, and customized medication delivery. Pharmaceutical formulation development may benefit from the prediction and optimization of API–excipient combinations, dose requirements, tablet characteristics, printability, and drug-release profiles when AI and ML are integrated. This could reduce the need for traditional trial-and-error experimentation.

An integrated workflow where patient-specific requirements are transformed into optimum digital formulations and then created as customized ODTs could be made possible by combining AI/ML with three-dimensional 3D printing (39,47). Thus, future Smart ODTs might offer patient-specific tablet dimensions and compositions, numerous APIs in a single dosage form, programmable drug-release patterns, and personalized dosages.

Patients with dysphagia, elderly and pediatric patients, and those needing dose modifications or various drugs may find these technologies very helpful. Further enabling the production of customized medications in hospitals, pharmacies, or specialized facilities in accordance with clinical criteria is the development of decentralized and on-demand manufacturing.

Furthermore, data-driven and responsive medication distribution may be made possible by integration with electronic prescribing systems and digital health technology. However, advancements in manufacturing repeatability, AI model validation, product stability, quality control, cybersecurity, and regulatory frameworks for digitally made personalized pharmaceuticals are necessary for successful clinical translation. Hence, the combination of AI/ML, 3D printing, improved excipient engineering, and personalized medicine has the potential to change traditional ODTs into flexible and intelligent dosage forms that can satisfy specific therapeutic needs (39,47).

CONCLUSION

The patient-friendly characteristics of conventional ODTs are combined with artificial intelligence, machine learning, 3D printing, and customized pharmaceutical manufacture to create smart oral disintegrating tablets, a new development in oral medication administration. Although traditional ODTs provide quick disintegration and easy administration, customization may be limited by their uniform dosages and designs. AI/ML can assist with formulation optimization, printability prediction, and control of important quality features, while 3D-printed tablets provide flexibility in geometry, drug loading, internal structure, and release properties.

Combination or polypill systems, programmable drug-release profiles, optimal dosing, and on-demand manufacture based on specific therapeutic needs can all be made possible by the integration of these technologies. Pediatric, elderly, dysphagic, and polypharmacy groups may find these skills especially useful. However, dosing accuracy, material consistency, mechanical properties, disintegration, solubility, stability, reproducibility, data quality, AI model validation, manufacturing scale, regulatory compliance, and cybersecurity must all be carefully taken into account when converting smart ODTs from research to routine clinical use.

Therefore, future research should concentrate on AI/ML models that have been experimentally validated, standardized datasets, reliable 3D printing procedures, enhanced formulation materials, dependable quality-control techniques, and suitable regulatory frameworks. Digital design, AI/ML, additive manufacturing, and customized medicine might all come together to change ODTs from standardized dose forms into flexible and patient-focused drug delivery systems.

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  5. Manisha K, Konde DrA, Battu DrS, Manisha K, Konde DrA, Battu DrS. Orally Disintegrating Tablets: A Review. JETIR [Internet]. 2020 [cited 2026 Sep 18];7(5):757–70. Available from: https://www.jetir.org/view?paper=JETIR2005420
  6. Dey P, Maiti S. Orodispersible tablets: A new trend in drug delivery. J Nat Sci Biol Med. 2010 Jul;1(1):2. doi:10.4103/0976-9668.71663 PubMed PMID: 22096326.
  7. Chaudhari SG, Sarode S, Pharm Student M, Professor A. ORODISPERSIBLE TABLETS: FORMULATION STRATEGIES, EVALUATION METHODS AND RECENT ADVANCES. International Journal of Current Science [Internet]. 2026 [cited 2026 Sep 18];16(2):2250–1770. Available from: www.ijcspub.org
  8. Prajapati Vinitbhai*1 HSSPSMMD. A Contemporary Approach to The Medicate Conveyane Through Orodispersible Tablets [Internet]. doi:10.5281/ZENODO.14285188
  9. Prabhu R S, D U, B S, R A, A.R AS, B K. FORMULATION AND MANAGEMENT OF DISEASES USING ORAL DISINTEGRATING TABLET- A REVIEW. International Journal of Pharmaceutical Sciences and Medicine. 2025 Jul 30;10(7):1–13. doi:10.47760/IJPSM.2025.V10I07.001
  10. Mizumoto T, Masuda Y, Yamamoto T, Yonemochi E, Terada K. Formulation design of a novel fast-disintegrating tablet. Int J Pharm. 2005 Oct 27;306(1–2):83–90. doi:10.1016/J.IJPHARM.2005.09.009 PubMed PMID: 16257154.
  11. Ghourichay MP, Kiaie SH, Nokhodchi A, Javadzadeh Y. Formulation and Quality Control of Orally Disintegrating Tablets (ODTs): Recent Advances and Perspectives. Biomed Res Int. 2021 Jan 1;2021(1):6618934. doi:10.1155/2021/6618934 PubMed PMID: 34977245.
  12. Chaturvedi K, Kumar Sharma P, Dwivedi S, Sharma R, Darwhekar GN, Kumar Sharma Professor P. Fast Dissolving Oral Film: An Innovative Approach for Drug Delivery. Current Research in Pharmaceutical Sciences. 2024 Apr 8;14(1):01–9. doi:10.24092/CRPS.2024.140101
  13. Nagar P, Singh K, Chauhan I, Verma M, Yasir M, Khan A, et al. Orally disintegrating tablets : formulation, preparation techniques and evaluation.
  14. Shukla D, Chakraborty S, Singh S, Mishra B. Review Open Access Mouth Dissolving Tablets I: An Overview of Formulation Technology. Pharm. 2009;77:309–26. doi:10.3797/scipharm.0811-09-01
  15. Abdalla Y, Nandiraju LP, Yue H, De Monsales CB, Yeung C, Basit AW. Artificial intelligence-enabled personalisation of oral drug delivery: From data-driven design to on-demand manufacturing. Adv Drug Deliv Rev. 2026 Jun 1;233:115855. doi:10.1016/J.ADDR.2026.115855 PubMed PMID: 41833742.
  16. Auel T, Mentrup AFC, Oldfield LR, Seidlitz A. 3D printing of pharmaceutical dosage forms: Recent advances and applications. Adv Drug Deliv Rev. 2025 Feb 1;217:115504. doi:10.1016/J.ADDR.2024.115504 PubMed PMID: 39706526.
  17. Tang Z, Chen X, Hong X, Han X, Li J, Duan S, et al. 3D printing personalized orally disintegrating tablets with complex structures for the treatment of special populations. Int J Pharm. 2025 Mar 30;673:125371. doi:10.1016/J.IJPHARM.2025.125371 PubMed PMID: 39971168.
  18. Ghourichay MP, Kiaie SH, Nokhodchi A, Javadzadeh Y. Formulation and Quality Control of Orally Disintegrating Tablets (ODTs): Recent Advances and Perspectives. Biomed Res Int. 2021 Jan 1;2021(1):6618934. doi:10.1155/2021/6618934 PubMed PMID: 34977245.
  19. Badgujar BP, Mundada AS. The technologies used for developing orally disintegrating tablets: A review. Acta Pharmaceutica. 2011 Jun 1;61(2):117–39. doi:10.2478/V10007-011-0020-8 PubMed PMID: 21684842.
  20. Fu Y, Yang S, Jeong SH, Kimura S, Park K. Orally Fast Disintegrating Tablets: Developments, Technologies, Taste-Masking and Clinical Studies. Critical Reviews™ in Therapeutic Drug Carrier Systems. 2004;21(6):433–75. doi:10.1615/CRITREVTHERDRUGCARRIERSYST.V21.I6.10 PubMed PMID: 15658933.
  21. Markl D, Zeitler JA. A Review of Disintegration Mechanisms and Measurement Techniques. Pharmaceutical Research 2017 34:5. 2017 Mar 1;34(5):890–917. doi:10.1007/S11095-017-2129-Z PubMed PMID: 28251425.
  22. Yu J, Xie J, Xie H, Hu Q, Wu Z, Cai X, et al. Strategies for Taste Masking of Orodispersible Dosage Forms: Time, Concentration, and Perception. Mol Pharm. 2022 Sep 5;19(9):3007–25. doi:10.1021/ACS.MOLPHARMACEUT.2C00199 PubMed PMID: 35848076.
  23. Chinwala M. Recent Formulation Advances and Therapeutic Usefulness of Orally Disintegrating Tablets (ODTs). Pharmacy 2020, Vol 8, Page 186. 2020 Oct 10;8(4):186. doi:10.3390/PHARMACY8040186
  24. Jassem NA. Orodispersible Tablets: A Review on Recent Trends in Drug Delivery. International Journal of Drug Delivery Technology. 2022 Jan 1;12(1):432–6. doi:10.25258/IJDDT.12.1.77
  25. Bangale G, Shinde G, Rathinaraj B. New generation of orodispersible tablets: recent advances and future propects. International Journal of Advances in Pharmaceutical Sciences. 2011.
  26. Mahapatra AK, Swain RP, Revathi B, Nirisha N, Murthy PN. Orodispersible Tablets: A review on Formulation Development Technologies and Strategies. Res J Pharm Technol [Internet]. 2013 [cited 2026 Sep 19];6(9):941–53. Available from: https://indianjournals.com/article/rjpt-6-9-004
  27. Vishali T, Damodharan N. Orodispersible Tablets: A Review. Res J Pharm Technol. 2020 May 30;13(5):2522–9. doi:10.5958/0974-360X.2020.00449.7
  28. Malaak FA, Zeid KA, Fouad SA, El-Nabarawi MA. Orodispersible tablets: Novel strategies and future challenges in drug delivery. Res J Pharm Technol. 2019 Nov 1;12(11):5575–82. doi:10.5958/0974-360X.2019.00966.1
  29. Kumaraswamy M, Sathasivam ; Gokul, Jayabalan ; Jayasri, Kumar A, Asaithambi R, Velmurugan ; Balachandru. Advances in 3D Printing Technology for Orodispersible Tablets Represent a New Direction in Personalized Drug Delivery. International Journal of Innovative Science and Research Technology Velmurugan. 2025;10(10):726. doi:10.38124/ijisrt/25oct523
  30. Kapoor DU, Pareek A, Uniyal P, Prajapati BG, Thanawuth K, Sriamornsak P. Innovative applications of 3D printing in personalized medicine and complex drug delivery systems. iScience. 2025 Oct 17;28(10):113505. doi:10.1016/J.ISCI.2025.113505
  31. JOSHI P, OJHA A, SINGH AK, PANT NC. 3D PRINTING IN PHARMACEUTICALS: TRANSFORMING DRUG FORMULATION AND PERSONALIZED MEDICINE. Int J Pharm Pharm Sci. 2025 Aug 1;1–7. doi:10.22159/IJPPS.2025V17I8.54888
  32. Gibson I, Rosen D, Stucker B. Additive manufacturing technologies: 3D printing, rapid prototyping, and direct digital manufacturing, second edition. Additive Manufacturing Technologies: 3D Printing, Rapid Prototyping, and Direct Digital Manufacturing, Second Edition. 2015 Jan 1;1–498. doi:10.1007/978-1-4939-2113-3/SAVE-RESEARCH
  33. Kristiawan RB, Imaduddin F, Ariawan D, Ubaidillah, Arifin Z. A review on the fused deposition modeling (FDM) 3D printing: Filament processing, materials, and printing parameters. Open Engineering. 2021 Jan 1;11(1):639–49. doi:10.1515/ENG-2021-0063
  34. Melchels FPW, Feijen J, Grijpma DW. A review on stereolithography and its applications in biomedical engineering. Biomaterials. 2010 Aug 1;31(24):6121–30. doi:10.1016/J.BIOMATERIALS.2010.04.050 PubMed PMID: 20478613.
  35. Jacobs PF., Reid DT. Rapid prototyping & manufacturing : fundamentals of stereolithography. 1992;434.
  36. Aguilar-de-Leyva Á, Casas M, Ferrero C, Linares V, Caraballo I. 3D Printing Direct Powder Extrusion in the Production of Drug Delivery Systems: State of the Art and Future Perspectives. Pharmaceutics. 2024 Mar 1;16(4):437. doi:10.3390/PHARMACEUTICS16040437
  37. Elbadawi M, Muñiz Castro B, Gavins FKH, Ong JJ, Gaisford S, Pérez G, et al. M3DISEEN: A novel machine learning approach for predicting the 3D printability of medicines. Int J Pharm. 2020 Nov 30;590:119837. doi:10.1016/J.IJPHARM.2020.119837 PubMed PMID: 32961295.
  38. Abdalla Y, Nandiraju LP, Yue H, De Monsales CB, Yeung C, Basit AW. Artificial intelligence-enabled personalisation of oral drug delivery: From data-driven design to on-demand manufacturing. Adv Drug Deliv Rev. 2026 Jun 1;233:115855. doi:10.1016/J.ADDR.2026.115855 PubMed PMID: 41833742.
  39. Keerikkadu M, Chennamsetty S, Shetty A, Tippavajhala VK, Rathnanand M. 3D-printed polypills for personalized medicine and precision oral drug delivery in pharmaceutical practice: A review. Int J Pharm X. 2026 Jun 1;11:100474. doi:10.1016/J.IJPX.2025.100474
  40. Quan Z, Jian W, Liqun R, - al, Yu J, Chen W, et al. 3D printing processes in precise drug delivery for personalized medicine. Biofabrication. 2024 Apr 17;16(3):032001. doi:10.1088/1758-5090/AD3A14 PubMed PMID: 38569493.
  41. Konta AA, García-Piña M, Serrano DR. Personalised 3D Printed Medicines: Which Techniques and Polymers Are More Successful? Bioengineering. 2017 Dec 1;4(4):79. doi:10.3390/BIOENGINEERING4040079 PubMed PMID: 28952558.
  42. Minichmayr IK, Dreesen E, Centanni M, Wang Z, Hoffert Y, Friberg LE, et al. Model-informed precision dosing: State of the art and future perspectives. Adv Drug Deliv Rev. 2024 Dec 1;215:115421. doi:10.1016/J.ADDR.2024.115421 PubMed PMID: 39159868.
  43. Farhaj S, Hamid O, Ahmad N, Conway BR, Ghori MU. Orodispersible Tablets for Paediatric Use: A Systematic Review and Outlook for Future Research. Sci Pharm. 2026 Jun 1;94(2):28. doi:10.3390/SCIPHARM94020028/S1
  44. Slavkova M, Breitkreutz J. Orodispersible drug formulations for children and elderly. European Journal of Pharmaceutical Sciences. 2015 Jul 30;75:2–9. doi:10.1016/J.EJPS.2015.02.015 PubMed PMID: 25736528.
  45. Fu Y, Yang S, Jeong SH, Kimura S, Park K. Orally fast disintegrating tablets: Developments, technologies, taste-masking and clinical studies. Crit Rev Ther Drug Carrier Syst. 2004;21(6):433–75. doi:10.1615/CRITREVTHERDRUGCARRIERSYST.V21.I6.10 PubMed PMID: 15658933.
  46. Ghourichay MP, Kiaie SH, Nokhodchi A, Javadzadeh Y. Formulation and Quality Control of Orally Disintegrating Tablets (ODTs): Recent Advances and Perspectives. Biomed Res Int. 2021 Jan 1;2021(1):6618934. doi:10.1155/2021/6618934 PubMed PMID: 34977245.
  47. Abdalla Y, Nandiraju LP, Yue H, De Monsales CB, Yeung C, Basit AW. Artificial intelligence-enabled personalisation of oral drug delivery: From data-driven design to on-demand manufacturing. Adv Drug Deliv Rev. 2026 Jun 1;233:115855. doi:10.1016/J.ADDR.2026.115855 PubMed PMID: 41833742.

Reference

  1. Abdalla Y, Nandiraju LP, Yue H, De Monsales CB, Yeung C, Basit AW. Artificial intelligence-enabled personalisation of oral drug delivery: From data-driven design to on-demand manufacturing. Adv Drug Deliv Rev. 2026 Jun 1;233:115855. doi:10.1016/J.ADDR.2026.115855 PubMed PMID: 41833742.
  2. Auel T, Mentrup AFC, Oldfield LR, Seidlitz A. 3D printing of pharmaceutical dosage forms: Recent advances and applications. Adv Drug Deliv Rev. 2025 Feb 1;217:115504. doi:10.1016/J.ADDR.2024.115504 PubMed PMID: 39706526.
  3. Tang Z, Chen X, Hong X, Han X, Li J, Duan S, et al. 3D printing personalized orally disintegrating tablets with complex structures for the treatment of special populations. Int J Pharm. 2025 Mar 30;673:125371. doi:10.1016/J.IJPHARM.2025.125371 PubMed PMID: 39971168.
  4. Ros H, Chan N, Cook MT, Shorthouse D. Artificial intelligence and machine learning guided optimization in drug delivery. Adv Drug Deliv Rev. 2026 May 1;232. doi:10.1016/j.addr.2026.115781 PubMed PMID: 41579967.
  5. Manisha K, Konde DrA, Battu DrS, Manisha K, Konde DrA, Battu DrS. Orally Disintegrating Tablets: A Review. JETIR [Internet]. 2020 [cited 2026 Sep 18];7(5):757–70. Available from: https://www.jetir.org/view?paper=JETIR2005420
  6. Dey P, Maiti S. Orodispersible tablets: A new trend in drug delivery. J Nat Sci Biol Med. 2010 Jul;1(1):2. doi:10.4103/0976-9668.71663 PubMed PMID: 22096326.
  7. Chaudhari SG, Sarode S, Pharm Student M, Professor A. ORODISPERSIBLE TABLETS: FORMULATION STRATEGIES, EVALUATION METHODS AND RECENT ADVANCES. International Journal of Current Science [Internet]. 2026 [cited 2026 Sep 18];16(2):2250–1770. Available from: www.ijcspub.org
  8. Prajapati Vinitbhai*1 HSSPSMMD. A Contemporary Approach to The Medicate Conveyane Through Orodispersible Tablets [Internet]. doi:10.5281/ZENODO.14285188
  9. Prabhu R S, D U, B S, R A, A.R AS, B K. FORMULATION AND MANAGEMENT OF DISEASES USING ORAL DISINTEGRATING TABLET- A REVIEW. International Journal of Pharmaceutical Sciences and Medicine. 2025 Jul 30;10(7):1–13. doi:10.47760/IJPSM.2025.V10I07.001
  10. Mizumoto T, Masuda Y, Yamamoto T, Yonemochi E, Terada K. Formulation design of a novel fast-disintegrating tablet. Int J Pharm. 2005 Oct 27;306(1–2):83–90. doi:10.1016/J.IJPHARM.2005.09.009 PubMed PMID: 16257154.
  11. Ghourichay MP, Kiaie SH, Nokhodchi A, Javadzadeh Y. Formulation and Quality Control of Orally Disintegrating Tablets (ODTs): Recent Advances and Perspectives. Biomed Res Int. 2021 Jan 1;2021(1):6618934. doi:10.1155/2021/6618934 PubMed PMID: 34977245.
  12. Chaturvedi K, Kumar Sharma P, Dwivedi S, Sharma R, Darwhekar GN, Kumar Sharma Professor P. Fast Dissolving Oral Film: An Innovative Approach for Drug Delivery. Current Research in Pharmaceutical Sciences. 2024 Apr 8;14(1):01–9. doi:10.24092/CRPS.2024.140101
  13. Nagar P, Singh K, Chauhan I, Verma M, Yasir M, Khan A, et al. Orally disintegrating tablets?: formulation, preparation techniques and evaluation.
  14. Shukla D, Chakraborty S, Singh S, Mishra B. Review Open Access Mouth Dissolving Tablets I: An Overview of Formulation Technology. Pharm. 2009;77:309–26. doi:10.3797/scipharm.0811-09-01
  15. Abdalla Y, Nandiraju LP, Yue H, De Monsales CB, Yeung C, Basit AW. Artificial intelligence-enabled personalisation of oral drug delivery: From data-driven design to on-demand manufacturing. Adv Drug Deliv Rev. 2026 Jun 1;233:115855. doi:10.1016/J.ADDR.2026.115855 PubMed PMID: 41833742.
  16. Auel T, Mentrup AFC, Oldfield LR, Seidlitz A. 3D printing of pharmaceutical dosage forms: Recent advances and applications. Adv Drug Deliv Rev. 2025 Feb 1;217:115504. doi:10.1016/J.ADDR.2024.115504 PubMed PMID: 39706526.
  17. Tang Z, Chen X, Hong X, Han X, Li J, Duan S, et al. 3D printing personalized orally disintegrating tablets with complex structures for the treatment of special populations. Int J Pharm. 2025 Mar 30;673:125371. doi:10.1016/J.IJPHARM.2025.125371 PubMed PMID: 39971168.
  18. Ghourichay MP, Kiaie SH, Nokhodchi A, Javadzadeh Y. Formulation and Quality Control of Orally Disintegrating Tablets (ODTs): Recent Advances and Perspectives. Biomed Res Int. 2021 Jan 1;2021(1):6618934. doi:10.1155/2021/6618934 PubMed PMID: 34977245.
  19. Badgujar BP, Mundada AS. The technologies used for developing orally disintegrating tablets: A review. Acta Pharmaceutica. 2011 Jun 1;61(2):117–39. doi:10.2478/V10007-011-0020-8 PubMed PMID: 21684842.
  20. Fu Y, Yang S, Jeong SH, Kimura S, Park K. Orally Fast Disintegrating Tablets: Developments, Technologies, Taste-Masking and Clinical Studies. Critical Reviews™ in Therapeutic Drug Carrier Systems. 2004;21(6):433–75. doi:10.1615/CRITREVTHERDRUGCARRIERSYST.V21.I6.10 PubMed PMID: 15658933.
  21. Markl D, Zeitler JA. A Review of Disintegration Mechanisms and Measurement Techniques. Pharmaceutical Research 2017 34:5. 2017 Mar 1;34(5):890–917. doi:10.1007/S11095-017-2129-Z PubMed PMID: 28251425.
  22. Yu J, Xie J, Xie H, Hu Q, Wu Z, Cai X, et al. Strategies for Taste Masking of Orodispersible Dosage Forms: Time, Concentration, and Perception. Mol Pharm. 2022 Sep 5;19(9):3007–25. doi:10.1021/ACS.MOLPHARMACEUT.2C00199 PubMed PMID: 35848076.
  23. Chinwala M. Recent Formulation Advances and Therapeutic Usefulness of Orally Disintegrating Tablets (ODTs). Pharmacy 2020, Vol 8, Page 186. 2020 Oct 10;8(4):186. doi:10.3390/PHARMACY8040186
  24. Jassem NA. Orodispersible Tablets: A Review on Recent Trends in Drug Delivery. International Journal of Drug Delivery Technology. 2022 Jan 1;12(1):432–6. doi:10.25258/IJDDT.12.1.77
  25. Bangale G, Shinde G, Rathinaraj B. New generation of orodispersible tablets: recent advances and future propects. International Journal of Advances in Pharmaceutical Sciences. 2011.
  26. Mahapatra AK, Swain RP, Revathi B, Nirisha N, Murthy PN. Orodispersible Tablets: A review on Formulation Development Technologies and Strategies. Res J Pharm Technol [Internet]. 2013 [cited 2026 Sep 19];6(9):941–53. Available from: https://indianjournals.com/article/rjpt-6-9-004
  27. Vishali T, Damodharan N. Orodispersible Tablets: A Review. Res J Pharm Technol. 2020 May 30;13(5):2522–9. doi:10.5958/0974-360X.2020.00449.7
  28. Malaak FA, Zeid KA, Fouad SA, El-Nabarawi MA. Orodispersible tablets: Novel strategies and future challenges in drug delivery. Res J Pharm Technol. 2019 Nov 1;12(11):5575–82. doi:10.5958/0974-360X.2019.00966.1
  29. Kumaraswamy M, Sathasivam ; Gokul, Jayabalan ; Jayasri, Kumar A, Asaithambi R, Velmurugan ; Balachandru. Advances in 3D Printing Technology for Orodispersible Tablets Represent a New Direction in Personalized Drug Delivery. International Journal of Innovative Science and Research Technology Velmurugan. 2025;10(10):726. doi:10.38124/ijisrt/25oct523
  30. Kapoor DU, Pareek A, Uniyal P, Prajapati BG, Thanawuth K, Sriamornsak P. Innovative applications of 3D printing in personalized medicine and complex drug delivery systems. iScience. 2025 Oct 17;28(10):113505. doi:10.1016/J.ISCI.2025.113505
  31. JOSHI P, OJHA A, SINGH AK, PANT NC. 3D PRINTING IN PHARMACEUTICALS: TRANSFORMING DRUG FORMULATION AND PERSONALIZED MEDICINE. Int J Pharm Pharm Sci. 2025 Aug 1;1–7. doi:10.22159/IJPPS.2025V17I8.54888
  32. Gibson I, Rosen D, Stucker B. Additive manufacturing technologies: 3D printing, rapid prototyping, and direct digital manufacturing, second edition. Additive Manufacturing Technologies: 3D Printing, Rapid Prototyping, and Direct Digital Manufacturing, Second Edition. 2015 Jan 1;1–498. doi:10.1007/978-1-4939-2113-3/SAVE-RESEARCH
  33. Kristiawan RB, Imaduddin F, Ariawan D, Ubaidillah, Arifin Z. A review on the fused deposition modeling (FDM) 3D printing: Filament processing, materials, and printing parameters. Open Engineering. 2021 Jan 1;11(1):639–49. doi:10.1515/ENG-2021-0063
  34. Melchels FPW, Feijen J, Grijpma DW. A review on stereolithography and its applications in biomedical engineering. Biomaterials. 2010 Aug 1;31(24):6121–30. doi:10.1016/J.BIOMATERIALS.2010.04.050 PubMed PMID: 20478613.
  35. Jacobs PF., Reid DT. Rapid prototyping & manufacturing?: fundamentals of stereolithography. 1992;434.
  36. Aguilar-de-Leyva Á, Casas M, Ferrero C, Linares V, Caraballo I. 3D Printing Direct Powder Extrusion in the Production of Drug Delivery Systems: State of the Art and Future Perspectives. Pharmaceutics. 2024 Mar 1;16(4):437. doi:10.3390/PHARMACEUTICS16040437
  37. Elbadawi M, Muñiz Castro B, Gavins FKH, Ong JJ, Gaisford S, Pérez G, et al. M3DISEEN: A novel machine learning approach for predicting the 3D printability of medicines. Int J Pharm. 2020 Nov 30;590:119837. doi:10.1016/J.IJPHARM.2020.119837 PubMed PMID: 32961295.
  38. Abdalla Y, Nandiraju LP, Yue H, De Monsales CB, Yeung C, Basit AW. Artificial intelligence-enabled personalisation of oral drug delivery: From data-driven design to on-demand manufacturing. Adv Drug Deliv Rev. 2026 Jun 1;233:115855. doi:10.1016/J.ADDR.2026.115855 PubMed PMID: 41833742.
  39. Keerikkadu M, Chennamsetty S, Shetty A, Tippavajhala VK, Rathnanand M. 3D-printed polypills for personalized medicine and precision oral drug delivery in pharmaceutical practice: A review. Int J Pharm X. 2026 Jun 1;11:100474. doi:10.1016/J.IJPX.2025.100474
  40. Quan Z, Jian W, Liqun R, - al, Yu J, Chen W, et al. 3D printing processes in precise drug delivery for personalized medicine. Biofabrication. 2024 Apr 17;16(3):032001. doi:10.1088/1758-5090/AD3A14 PubMed PMID: 38569493.
  41. Konta AA, García-Piña M, Serrano DR. Personalised 3D Printed Medicines: Which Techniques and Polymers Are More Successful? Bioengineering. 2017 Dec 1;4(4):79. doi:10.3390/BIOENGINEERING4040079 PubMed PMID: 28952558.
  42. Minichmayr IK, Dreesen E, Centanni M, Wang Z, Hoffert Y, Friberg LE, et al. Model-informed precision dosing: State of the art and future perspectives. Adv Drug Deliv Rev. 2024 Dec 1;215:115421. doi:10.1016/J.ADDR.2024.115421 PubMed PMID: 39159868.
  43. Farhaj S, Hamid O, Ahmad N, Conway BR, Ghori MU. Orodispersible Tablets for Paediatric Use: A Systematic Review and Outlook for Future Research. Sci Pharm. 2026 Jun 1;94(2):28. doi:10.3390/SCIPHARM94020028/S1
  44. Slavkova M, Breitkreutz J. Orodispersible drug formulations for children and elderly. European Journal of Pharmaceutical Sciences. 2015 Jul 30;75:2–9. doi:10.1016/J.EJPS.2015.02.015 PubMed PMID: 25736528.
  45. Fu Y, Yang S, Jeong SH, Kimura S, Park K. Orally fast disintegrating tablets: Developments, technologies, taste-masking and clinical studies. Crit Rev Ther Drug Carrier Syst. 2004;21(6):433–75. doi:10.1615/CRITREVTHERDRUGCARRIERSYST.V21.I6.10 PubMed PMID: 15658933.
  46. Ghourichay MP, Kiaie SH, Nokhodchi A, Javadzadeh Y. Formulation and Quality Control of Orally Disintegrating Tablets (ODTs): Recent Advances and Perspectives. Biomed Res Int. 2021 Jan 1;2021(1):6618934. doi:10.1155/2021/6618934 PubMed PMID: 34977245.
  47. Abdalla Y, Nandiraju LP, Yue H, De Monsales CB, Yeung C, Basit AW. Artificial intelligence-enabled personalisation of oral drug delivery: From data-driven design to on-demand manufacturing. Adv Drug Deliv Rev. 2026 Jun 1;233:115855. doi:10.1016/J.ADDR.2026.115855 PubMed PMID: 41833742.

Photo
Paramjeet
Corresponding author

College of Pharmacy, PGIMS, Pandit Bhagwat Dayal Sharma, University of Health Sciences, Rohtak

Photo
Manish Dhall
Co-author

College of Pharmacy, PGIMS, Pandit Bhagwat Dayal Sharma, University of Health Sciences, Rohtak

Manish Dhall, Paramjeet, Smart Oral Disintegrating Tablets: Integration of 3D Printing, AI, and Personalized Drug Delivery, Int. J. of Pharm. Sci., 2026, Vol 4, Issue 9, 3952-3967, https://doi.org/10.5281/zenodo.23038434

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